Bloom, Heidi Taylor

Bloom, Heidi Taylor is an individual health care provider with primary practice located at 2780 E Barnett Rd Ste 200 , Medford OR 97504-8674. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as her primary health care specialty. Bloom, Heidi Taylor can be contacted via phone (541) 779-6250.

Contact Information

Primary practice address
2780 E Barnett Rd Ste 200 Medford OR 97504-8674
Phone: (541) 779-6250
Fax: (541) 608-2535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X MD24000 Oregon

Profile Details

NPI number 1104814201
LBN Legal business name Bloom, Heidi Taylor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Oct 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104814201 NPPES
Oregon MEDICAID 286646

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